Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Paul Doulas Kannard, AMFT

Individual provider Marriage & Family Therapist · NPI 1053977587

Mr. Paul Doulas Kannard, AMFT is a Marriage and Family Therapist in Red Bluff, California. Qualified in 2019, 7 years ago. Practices with Shasta Community Health Center, a 63-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

1445 Vista Way
Red Bluff, CA 96080-4510
Phone: (530) 529-4019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 111412 (CA)

Record details

NPI number1053977587
Entity typeIndividual (Type 1)
GenderMale
Credentials AMFT
Sole proprietorNo
NPI enumeratedMay 9, 2019
Last updated in NPPESMay 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shasta Community Health Center — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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